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Transforming Nursing And Healthcare Through Technology Rice Supplement Essay Help



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This year has seen the largest increase in the use of telemedicine, largely due to the COVID-19 pandemic. Millions of Americans are relying on health information through technology, which changes the roles of healthcare professionals. Nagle, Sermeus, & Junger (2017) allude to physicians and nurses recognizing a shift in their roles in direct patient care to that of knowledge broker, helping patients manage and understand their care through the information they can access. For knowledge to be valuable from a nursing informatics standpoint, it must be easily accessible, timely, and lead to the formation of new knowledge (McGonigle & Mastrian, 2017).

As a Labor and Delivery nurse, I rely on specific data that directly impacts the wellbeing of a mother and her unborn child. An example of pertinent data in the care of a pregnant patient is her blood type. It is important for all pregnant patients to have a blood type and screen as part of routine prenatal lab work in order to prepare for possible Rh-incompatibility with the fetus. If a pregnant patient has a negative blood type (Rh-negative), she will need to receive a Rh immune-globulin injection during her pregnancy around 28 weeks and following delivery, as there is a chance her unborn child could have a positive blood type (such as B+). While Rh-incompatibility is not an issue in a woman’s first pregnancy, it can create serious problems after maternal and fetal blood mix at time of delivery. In subsequent pregnancies, Rh-incompatibility will cause problems such as miscarriage, ectopic pregnancy, and hemolytic disease of the newborn without the Rh immune-globulin injection (KidsHealth, n.d.). Due to the success of the injections, intrauterine fetal blood transfusions are rare in the United States (KidsHealth, n.d.).

By using the clinical data of obtaining the blood type of a pregnant patient, the healthcare provider determines if she needs doses of an Rh immune-globulin injection. This simple understanding protects the wellbeing of the patient and her potential future unborn children. By promoting the preventative care of Rh-negative pregnant patients through the interpretation of data collection, millions of dollars, and infant lives, can be saved each year.

Healthcare Organization Website Review law essay help

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Healthcare Organization Website Review

Evidence-based practice is the integration of research and clinical expertise, which will allow the patient to have more information and evidence to make their preference on their healthcare decisions (Bartol, 2019). The American Psychiatric Nurses Association (APNA) is a professional membership organization that provides education, resources, collaboration, and much more to the psychiatric nursing field. The APNA advocates for mental health through collaboration with consumer groups to promote evidence-based advances in recovery-focused assessment, diagnosis, treatment, and evaluation of persons with mental illness and substance use disorders (APNA, 2020). Under the continuing education tap, the association encourages evidence-based programs and has multiple links for these programs in psychiatric-mental health nursing and provides different topics for individuals to learn about.

Evidence-Based Practice Utilization

The APNA nursing organization website clearly shows how important evidence-based practice is within this community. The website shows evidence-based practices through education modules in the APNA eLearning center, conferences, publications, and academic journal. Continuing education on the website is focused on evidenced-based practice and research along with two annual conferences. The publications and academic journal focus is on providing resources for practice-related topics to mental health nursing (APNA, 2020).

Ground of EBP

While going through the APNA website, you can easily tell the organization is grounded in evidence-based practice and wants individuals to be led to EBP research and education. The APNA is an accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission (ANCC, 2020).

Perception of Healthcare Organization

The information I received during this discussion proves the APNA relies on evidence-based practices. The organization has created an educational platform for mental health nursing professionals to find up to date evidence-based practices. This organization will be asset for many students, nurses, and providers throughout their career and I highly recommend it.

Disease Management Across Life Span gp essay help: gp essay help

Discussion Question 1

Consider a 12-year-old and 75-year-old have one of the following illnesses:


·  Asthma

·  Heart Failure

·  Cancer

·  Describe the chronic illness trajectory for the selected illness based on the patient’s age.

·  How does the chronically ill patient’s illness trajectory influence the nursing plan of care?

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Introduction to Cyber Security and Digital Crime rice supplement essay help

Project Guidelines


Course Code: CS507

Course Title:   Introduction to Cyber Security and Digital Crime


The research project component of the course is the part where students will be exposed to research problems and will be invited to edit their own research paper.

Every group (1 or 2 students, decided by the instructors) should choose a research paper from top-tier conferences or journals.

The papers listed as extra reading in the syllabus may represent a good starting point for paper selection. Your instructor may decide to provide you with the list of required papers.

The group needs to read and deeply understand the research problem tackled by the papers. For that, they need to read important referenced papers as well. To validate this part, students need to prepare a summary of the paper along with a PowerPoint presentation describing the paper. Based on the work described in the paper, they need to come up with a contribution that is an extension of the assigned papers. Every group will have to present their findings in the class around the end of the semester.

Hence, each group should submit the following before the presentation day:

A short paper (4-6 pages). Below template.
Presentation of maximum 15 slides describing the topic and the work of the student.

High Importance Note:

The submission should be 100% the students’ work. It is about writing a short paper, so students must do a survey of the literature and propose a contribution and must do it by themselves. At grading, it will be easy to recognize who did the work and who copied it online. We will be using plagiarism tools. These tools are used by conferences and journals to detect whether submitted papers contain copied sections and sentences.



Each group should send the title of their paper as well as a half-page-description of the subject by Tuesday of Week 9 (27/10/2020). I have choose the title “Intrusion Detection Systems (IDSs)”
The template of the article can be found in below pages. Your article must obey the template guidelines in precise manner.
You must follow APA style and use End Note for references management.
Your article cannot go beyond 12 pages inclusive references.
At least, five of your references must to be from journal articles published in well publishers’ databases; IEEE, Springer, Elsevier, Wiley and Taylor & Francis.
You must combine yourselves into a group of 2 students.
Submission deadline is Week 13 (24/11/2020); by email to your respective instructor. Submission must be done by Corresponding Author.
Endnote Library should be submitted with the project.
You will have a 15-20 min presentation starting from Week 10. The group presentation will be selected in random base.

Click and type the title of your article, only capitalize first word and proper nouns


First-name Surname1*, Second-name Surname2 and Third-name Surname3


1Affiliation 1, Email address, University, City, Country

2Affiliation 1, Email address, University, City, Country

3Affiliation 1, Email address, University, City, Country


*Corresponding Author




An Abstract is required for every article; it should succinctly summarize the reason for the work, the main findings, and the conclusions of the study. The abstract should be no longer than 250 words. Do not include artwork, tables, elaborate equations or references to other parts of the article or to the reference listing at the end. The reason is that the Abstract should be understandable in itself to be suitable for storage in textual information retrieval systems.


Keywords: ; ; ; ;





We believe a template should help you, not hinder you, in authoring your article. It should follow you in how you want to write your article, not force you to fill in bits and pieces of text. It should allow you to type any text, copy from previous versions, or load an already existing plain text to be formatted. You will therefore find no fill-in screens; you will not need to remember shortcut keys, to use lists of styles, bother about alignment, indents, fonts and point sizes. Just a mouse-click at one of the menu options will give you the style that you want.

The objective of this template is to enable you in an easy way to style your article attractively. It should be emphasized, however, that the final appearance of your article in print and in electronic media will very likely vary to greater or lesser extent from the presentation achieved in this Word® document.


The first page


Naturally, your article should start with a concise and informative title. Do not use abbreviations in title. Next, list all authors with their first names or initials and surnames (in that order). Indicate the author for correspondence. After having listed all authors’ names, you should list their respective affiliations. Link authors and affiliations using superscript lower-case letters from the ‘Author Footnote Symbols’ menu in the toolbar.






Article Size


The Manuscript should be prepared in English language by using MS Word. Article can be up to 12 pages inclusive references and abstract.

Supply some 3–5 keywords, separated with semicolons, e.g., Azomethine ylide; Claisen rearrangement; Diels-Alder cycloaddition; Enantioselective catalysis; Ionic liquid; Metathesis; Microwave-assisted synthesis.


The main text


You will usually want to divide your article into (numbered) sections. Headings should reflect the relative importance of the sections. Your article can go beyond 4th order heading.

Ensure that all tables, figures and schemes are cited in the text in numerical order. Trade names should have an initial capital letter, and trademark protection should be acknowledged in the standard fashion, using the superscripted characters for trademarks and registered trademarks respectively. All measurements and data should be given in SI (System International) units where possible, or other internationally accepted units. Abbreviations should be used consistently throughout the text, and all nonstandard abbreviations should be defined on first usage. The experimental information should be as concise as possible, while containing all the information necessary to guarantee reproducibility.


Figure 1. (a) Fairness index, (b) Average Fairness Index


Table 1. Table, version 1




Slot time
20 μs
Slot time
20 μs

ACK size
20 bytes
ACK size
20 bytes

RTS size
25 bytes
RTS size
25 bytes

CTS size
20 bytes
CTS size
20 bytes

Data packet size
1000 bytes
Data packet size
1000 bytes

DIFS interval
40 μs
DIFS interval
40 μs

SIFS interval
10 μs
SIFS interval
10 μs



2 Mbps
2 Mbps

Transport protocol
Transport protocol





Tables, figures and schemes


All citations of figure and tables in text must be in numerical order. Citations to figures in text always carry the word “Figure.”, “Table.” followed by the figure/table number.

You can choose to display figure/table through one column (see Table 1, Figure 1) or across the page (see Table 2, Figure 2). Remember that we will always also need high-resolution versions of your figures for printing in (i.e. TIFF) format.


Table 2. Table, version 2



Slot time
20 μs

ACK size
20 bytes

RTS size
25 bytes

CTS size
20 bytes

Data packet size
1000 bytes

DIFS interval
40 μs

2 Mbps

Transport protocol



Figure 2. Overload on GV and IV vehicles




For tabular summations that do not deserve to be presented as a table, lists are often used. Lists may be either numbered or bulleted. Below you see examples of both.

The first entry in the list
The second entry
A subentry
The last entry


A bulleted list item
Another one


You can use the Bullets and Numbering options in the ‘Formatting’ toolbar of Word® to create lists. Note that you should first block the whole list. A sublisting is coded using the ‘Increase Indent’ (go to a sublevel of numbering) and ‘Decrease Indent’ (go to a higher level of numbering) buttons.




Equations within an article are numbered consecutively from the beginning of the article to the end. All variables are italic. (e.g., x, y, n). Function names and abbreviations are Roman (sin, cos, sinc, sinh), as are units or unit abbreviations (e.g., deg, Hz,) complete words (e.g., in, out), and abbreviations of words (e.g., max, min), or acronyms (e.g., SNR).

You can type your equations and use the symbols in the Word® equation editor or in MathType™. Using the ‘Insert Equation’ option, you can create equations in the Word® equation editor, or if the MathType™ equation editor is installed on your computer.





Acknowledgments should be inserted at the end of the article, before the references. When citing names within the Acknowledgment, do not use Mr., Mrs., Ms., or Miss. List first initial and last name only. Use the Dr. or Prof. title with each name separately; do not use plural Drs. or Profs. with lists of names.




The journal uses the IEEE Template for references formatting. References in the text should be indicated by Arabic numerals that run consecutively through the article and appear inside punctuation.

Authors should ensure that all references are cited in the text and vice versa. Authors are expected to check the original source reference for accuracy. See examples shown in the References section. In text, refer simply to the reference number. Do not use “Ref.”, “reference” or “Reference [3] shows ….” use as demonstrated in [3], according to [4] and [6-9]. Please do not use automatic endnotes in Word, rather, type the reference list at the end of the article using the “References” style. The authors encourage using the “EndNote” software to format and insert the references into the article ( IEEE EndNote template can be downloaded from ( Below is the references formatting:


Basic format for books:

K. Author, “Title of chapter in the book,” in Title of His Published Book, xth ed. City of Publisher, Country if not
USA: Abbrev. of Publisher, year, ch. x, sec. x, pp. xxx–xxx.


O. Young, “Synthetic structure of industrial plastics,” in Plastics, 2nd  ed.,  vol.  3,  J.  Peters,  Ed.  New  York: McGraw-Hill, 1964, pp. 15–64.
W.-K. Chen, Linear Networks and Systems. Belmont, CA: Wadsworth, 1993, pp. 123–13


Basic format for journals:

K. Author, “Name of article,” Abbrev. Title of Periodical, vol. x, no. x, pp. xxx-xxx, Abbrev. Month, year.


U. Duncombe, “Infrared navigation—Part I: An assessment

of feasibility,” IEEE Trans. Electron Devices, vol. ED-11, no. 1, pp. 34–39, Jan. 1959.
P. Wigner, “Theory of traveling-wave optical laser,” Phys. Rev.,

vol. 134, pp. A635–A646, Dec. 1965.
H. Miller, “A note on reflector arrays,” IEEE Trans. Antennas Propagat., to be published.


Basic format for reports:

K. Author, “Title of report,” Abbrev. Name of Co., City of Co., Abbrev. State, Rep. xxx, year.


E. Reber, R. L. Michell, and C. J. Carter, “Oxygen absorption in the earth’s atmosphere,” Aerospace Corp., Los Angeles, CA, Tech. Rep. TR-0200 (4230-46)-3, Nov. 1988.
H. Davis and J. R. Cogdell, “Calibration program for the 16-foot antenna,” Elect. Eng. Res. Lab., Univ. Texas, Austin, Tech. Memo. NGL-006-69-3, Nov. 15, 1987.


Basic format for handbooks:

Name of Manual/Handbook, x , Abbrev. Name of Co., City of Co., Abbrev. State, year, pp. xxx-xxx.


Transmission Systems for Communications, 3rd ed., Western Electric Co., Winston-Salem, NC, 1985, pp. 44–60.
Motorola Semiconductor Data Manual, Motorola Semiconductor Products Inc., Phoenix, AZ, 1989.


Basic format for books (when available online):

Au (year, month day). Title. (edition) [Type of medium]. volume (issue). Available: site/path/file


Jones. (1991, May 10). Networks. (2nd ed.) [Online]. Available:


Basic format for journals (when available online):

Author. (year, month). Title. Journa [Type of medium]. volume (issue), pages. Available: site/path/file


J. Vidmar. (1992, Aug.).  On  the  use  of  atmospheric plasmas as electromagnetic reflectors. IEEE Trans. Plasma Sci. [Online]. 21(3), pp. 876–880. Available:


Basic format for articles presented at conferences (when available online):

Author. (year, month). Title. Presented at Conference title. [Type of Medium]. Available: site/path/file


PROCESS Corp.,  M  Intranets:  Internet  technologies deployed behind the firewall for corporate productivity. Presented at

INET96 Annual Meeting. [Online]. Available:


Basic format for reports   and   handbooks (when available online):  

Auth   (year,   month).   Title. Comp an y . C ity, State or Country. [Type of Medium]. Available: site/path/file


S.  L.  Tall een.  (1996 ,  Apr . ).  The  In t r an et  Archi -tecture:  M a nagi ng  i n f o rm at i on  i n  t h e  ne w paradigm. Amdahl Corp., CA. [Online]. Available: http://www.amdahcom/doc/products/bsg/intra/infra/html


Basic format for computer programs and electronic documents (when available online).


A. Harriman. (1993, June). Compendium of genealogical softwa Humanist. [Online]. Available e-mail: [email protected] Message: get GENEALOGY REPORT


Basic format for patents (when available online):

Name of the invention, by inventor’s name. (year, month day). Patent Number [Type of medium]. Available: site/path/file


Musical toothbrush with adjustable neck and mirror, by L.M.R. Brooks. (1992, May 19). Patent D 326 189

[Online]. Available: NEXIS Library: LEXPAT File: DESIGN


Basic format for conference proceedings (published):

K. Author, “Title of article,” in Abbreviated Name of Conf., City of Conf., Abbrev. State (if given), year, pp. xxxxxx.


B. Payne and J. R. Stern, “Wavelength-switched pas- sively coupled single-mode optical network,” in Proc. IOOC-ECOC, 1985,

pp. 585–590.

Example for articles presented at conferences (unpublished):

Ebehard and E. Voges, “Digital single sideband detection for interferometric sensors,” presented at the 2nd Int. Conf. Optical Fiber Sensors, Stuttgart, Germany, Jan. 2-5, 1984.


Basic format for patents:

K. Author, “Title of patent,” U.S. Patent x xxx xxx, Abbrev. Month, day, year.


Brandli and M. Dick, “Alternating current fed power supply,”

U.S. Patent 4 084 217, Nov. 4, 1978.

Basic format for theses (M.S.) and dissertations (Ph.D.):

K. Author, “Title of thesis,” M.S. thesis, Abbrev. Dept., Abbrev. Univ., City of Univ., Abbrev. State, year.
K. Author, “Title of dissertation,” Ph.D. dissertation, Abbrev. Dept., Abbrev. Univ., City of Univ., Abbrev. State, year.


O. Williams, “Narrow-band analyzer,” Ph.D. dissertation, Dept. Elect. Eng., Harvard Univ., Cambridge, MA, 1993.
Kawasaki, “Parametric study of thermal and chemical nonequilibrium nozzle flow,” M.S. thesis, Dept. Electron. Eng., Osaka Univ., Osaka, Japan, 1993.

Basic format for the most common types of unpublished references:

K. Author, private communication, Abbrev. Month, year.
K. Author, “Title of article,” unpublished.
K. Author, “Title of article,” to be published.


Harrison, private communication, May 1995.
Smith, “An approach to graphs of linear forms,” unpublished.
Brahms, “Representation error for real numbers in binary computer arithmetic,” IEEE Computer Group Repository, Article R-67-85.


Basic format for standards:

Title of Standard, Standard number, date.


IEEE Criteria for Class IE Electric Systems, IEEE Standard 308, 1969.
Letter Symbols for Quantities, ANSI Standard Y10.5-1968.

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Truculent Children Essay melbourne essay help: melbourne essay help




Truculent Children





Salah Malek



Salah Malek

Dr. Craig Loomis

ENGL 101-13

26 April 2020

Truculent Children

(The sound of glass being shattered).

“What was that?” I asked, while many family members at the dinner table either stood in with shock, or simply froze at their chairs.

“Where did that sound come from?” my dad asked worriedly.

“I think it’s from the back,” replied my uncle.

“It must be one of those kids again!” I said, while running towards the main door. I could not stop at this point because I knew I could catch the culprit. I followed full speed until I ended up at a building’s doorstep.

“What the hell do you think you’re doing?” said the doorman.

“Those kids just broke several windows of my house!” I said, breathing heavily.

“I don’t care who broke what. You’re about to enter a building full of families, so think twice before you make your next step,” he said in a threatening tone.

I live in a beautiful duplex house, with a colorful, yet small garden in front. It is located in Salwa, an area that is filled with families occupying apartment buildings, so it is natural to see kids playing in our streets. Many of those kids belong to families that are related to each other, which explains why they usually hang out in big numbers. It is a tradition for families in Kuwait to gather on the weekends, and that includes my family too, but it had become frightening for some of us when weekends arrive.

Ever since we moved to this house in Salwa, which was back in 2011, we knew that we would be surrounded with apartments mostly, which didn’t seem like a problem to us at that time. You can see kids hanging out in the streets with their slingshots and other gun toys, but you wouldn’t think bad of it. However, once the garden was planted, we started noticing “little incidents” as my mom called them: flowers that have been stomped on, others had been plucked out entirely from their roots. These occurrences happened every couple of months or so, so they weren’t that alarming, per se, but they were definitely irritating because we could not tell who’s behind these acts of harassment. The garden vandalism did not stop there, but it also did not evolve.

After a few months of no incidents, it felt like the culprit or maybe culprits had moved to another area. It had finally become a peaceful and stable environment to live in, but that did not take long. One Saturday morning, I woke up from a good night sleep, made me a cup of coffee and took my pack of cigarettes along with the lighter. I usually head to the garden if the weather was cool or chilly since I live in one of the hottest climate countries in the world. It seemed like a beautiful, day, but to my surprise, I saw a giant hole in the garden with one of our biggest trees half broken. I was shocked, I didn’t know what to think of it exactly; it mostly felt like an attack on me and my family. I went back inside to tell someone, anyone, about what I had just seen, just to discover from my mother that her bathroom’s window had been broken and the floor had some glass shards on it alongside some stones. The evidence was right there, the little stones, Where have I seen this before? I wondered. Then it hit me, this is definitely the work of a slingshot.

I come from a family that believes in turning the other cheek, and that God will punish those who hurt us, which made us forgive many of those “little incidents” and ignore them, but enough is enough at this point. First of all, I realize that my house lies between apartment complexes, which means that there ought to be many families with their kids living there. I also acknowledge that kids have schools to attend to, which limits their playing time on weekdays, and completely maximizes it on weekends. The same thing goes to the parents of those children, they have work on normal days, so when the weekend arrives, they would want their kids out of the house so that they could relax and have some quality time. Furthermore, my garden has vegetables, plants, flowers, and trees with long branches that attract different types of birds, in retrospect these birds seemed like the perfect target practice for these kids.

I remember myself as a child, all I wanted to do was experiment and play the whole day, I was beyond curious about the world that we live in, so I understand what it’s like to be young and full of energy. I can still recall many memories of me as a child, and I remember clearly that I was disciplined in many ways, my day was planned by my parents from the moment I woke up till the moment I went back to sleep. They supervised many of the activities I had done and basically directed all my energy at the right things, which might sound controlling but the truth is that it was the right amount of control. These kids though, they have no supervision whatsoever, they tend to do what they feel like doing without any consequences or some type of authority that leads by example, so I cannot really blame them. According to a medical website that specializes in many different topics including healthy kids and good parenting principles, medical author Melissa Stöppler says, “What you do matters. Whether it’s your own health behaviors or the way you treat other people, your children are learning from what you do”.

However, these acts of vandalism if calculated over the years, they were costing the family money that was not necessarily saved for this reason. We did not even get any form of an apology or money that could cover the damages, so there was no shown responsibility on the behalf of the parents as well. In addition, many of our visitors stopped coming to our house as often as they used to, and their sole reason is those damned kids. My aunt Haifa for example, she often visits us and usually parks her car in front of the house as any visitor would. Long story short, one of her car windows got smashed to pieces with some eyewitnesses that were around that day, mostly the drivers of our neighbors, which could explain why they didn’t do anything about it, but at least they pointed out that it was a group of little kids. This was causing agitation and anxiety in the house and to whomever wanted to visit. What’s worse than all of this is that this has been happening quite frequently by now, with almost no physical evidence that links it with a specific person or group, but we know it, and since we’ve been dealing with the losses for a while now, it’s only logical that we had to take this seriously and find a solution.

There are a few solutions that crossed my mind over this period of time. We as a family, could ignore it all and hope that this doesn’t occur again, or at least not as bad as the last times, but this would be wishful thinking, because this happened often and over the years. The second solution would be by catching one of the kids while he’s committing the crime, which happens in a very short period of time so that leaves a really small window for any of us to succeed, but let’s say that one of my family members is capable of doing so, maybe that kid would lead us to his family’s apartment and a confrontation with his parents would take place and set the record straight. Another solution would be by taking a video of the culprit while he’s in the act so that we could probably sue him or his family for the damage that have been done.

The video idea was almost a success because it led my father to a conclusion that opened our minds to something that was much better, he says:

This has been an issue for quite sometime now. I know that we should have dealt with it from the beginning, but I never thought that this would keep on going for this long. I already did my research on home-security measurements and I will be calling a couple of companies that will install cameras around the house. When they see the cameras, they will acknowledge that there will be repercussions. (Malek)

The most logical solution in this case is for us to set up cameras all around the house, garden, and parking lots. It is like a warning sign for any perpetrators around my area, and it sends a crystal-like yet invisible message “This is real, and there will be consequences”. The whole idea runs on capturing footage of any type of crime around the house so that it could be used against them in court, if necessary. People will mistake your kindness and forgiveness for weakness, so you better show that you are not to be messed with in general, just so you can live a normal life that’s undisturbed by dreadful and intolerable people.






Works Cited

Malek, Ali. Personal interview. 20 Feb. 2020.

Stöppler, Melissa Conrad. “Healthy Parenting: 10 Principles of Good Parenting. MedicineNet,

             14 Mar. 2016. Accessed 17 Apr. 2020.

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Emotional Development Assignment essay help 123: essay help 123

The First Two Years : Psychosocial Development


WHAT WILL YOU KNOW ? 1. What happens to babies who may be considered difficult? 2. How do babies show us how responsive their parents are ? 3. What happens in terms of caregiving due to lack of maternity leave in the US?

Emotional Development (part 1)

Early emotions

High emotional responsiveness

Reactive pain and pleasure to complex social awareness

Smiling and laughing

Social smile (6 weeks) is evoked by viewing human faces . Laughter (3 to 4 months ) is often associated with curiosity.


Emotional Development ( part 2)

All social emotions affect the brain; abuse and unpredictable responses are especially destructive . Anger

First expressed at around 6 months Is healthy response to frustration


Appears in first months Indicates withdrawal and is accompanied by increased production of cortisol Is stressful experience for infants


Infant Emotional Development



Emerges at about 9 months in response to people, things, or situations

Stranger wariness

It may seem as an infant no longer smiles at any friendly face but cries o looks frightened when an unfamiliar person moves too close.

Separation anxiety

Tears , dismay , or anger occur when a familiar caregiver leaves .

If it remains strong after age 3, it may be considered an emotional disorder .

Toddlers’ Emotions

Toddler emotions strengthen with memory and mobility advances.

Anger and fear become less frequent and more focused .

Laughing and crying become louder and more discriminating .

Temper tantrums may appear.

Social awareness is influenced by context and culture .






Empathy and generosity


Emotional Development (part 3)

Self -awareness

Part of foundation for emotional growth

*Person’s realization that he or she is a distinct individual whose body, mind, and actions are separate from those of other people

Empathy and generosity emerge apart from selfish motives.

Emotional Development ( part 4 )

Mirror recognition : Classic experiment ( M. Lewis & Brooks , 1978)

*Babies aged 9-24 months looked into a mirror after a dot of rouge had been put on their noses .

*None of the babies younger than 12 months old reacted as if they knew the mark was on them .

*15- to 24 – month -olds showed self – awareness by touching their own noses with curiosity .


Expressing Emotions

Brain maturation is crucial for emotional development, especially in response to others.

*Experience (context, ethnicity , culture) connects amygdala and prefrontal cortex.

*Innate reactions and caregiver actions activate and prune neurons in the moldable infant brain.


Brain and Emotions

Experience and culture

Shape functional anatomy of self -representation Emotional social impulses

Directly connected to maturation of the anterior cingulate gyrus and other parts of limbic system Related to development of preferences for specific others.

Emotional Development ( part 6)

Temperament over the years

New York Longitudinal Study (NYLS)

*Started in the 1960s

* Found infants manifest nine traits that cluster into four categories ; only three dimensions found in future studies .


Core sample: 133 white , middle class infants (66 m males, 67 females)

1956-1988 observations and interviews At 3, 100 mothers and 93 fathers were interviewed and completed a Parental Attitude Research Instrument (Schaefer and Bell , 1958)

Profiling held as early as – 3mor of age Goodness of fit!

Temperament ( part 1)

Recent research also supports temperament related continuity and change in infants.

Later hostility is less when mothers were loving and patient with angry infants (Pickles and colleagues, 2013 ).

Increased risk for later emotional problems in difficult temperament infants related to difficult maternal pregnancy/birth and sion / a * n anxiety (Garthus-Niege and colleagues, 2017).

Difficult infants become easier with excellent parental care ( Belsky and colleagues, 2009 ) and more difficult with chaotic, erratic parenting (Saudino and colleagues 2015) .

Development of Social Bonds (part 1)


*Coordinated , rapid, and smooth exchange of responses between a caregiver and an infant.

Synchrony in the first few months

Becomes more frequent and elaborate

Helps infants learn to read others ‘ emotions and to develop the skills of social interaction

Usually begins with parents imitating infants


Neglected Synchrony

Experiments using the still- face technique *Experimental practice in which an adult keeps his or her face unmoving and expressionless in face -to- face interaction with an infant

* Babies are very upset by the still face and show signs of stress


 *Parent’s responsiveness to an infant aids psychological and biological development .

*Infants’ brains need social interaction to develop to their fullest .

Development of Social Bonds (part 2)


* Involves lasting emotional bond that one person has with another

* Begins to form in early infancy and influences a person’s close relationships throughout life *Overtakes synchrony

*Demonstrated through proximity -seeking and contact maintaining


Insecure Attachment and Social Setting


Harsh contexts, especially the stresses of poverty, reduce the incidence of secure attachment . Insecure attachment correlates with many later problems.


Insecure attachment may be a sign but may not be the direct cause of those problems. Attachment behaviors in the Strange Situation constitute only one indication of the quality of the parent-child relationship.

Correlation is not causation !

Attachment Parenting


 Prioritizes mother infant relationship during the first three years of life


* Maternal guilt if not 24/7 accessible

* Less appreciation of alloparents


Development of Social Bonds Insights from Romania

* In the early 1990s , thousands of children were adopted from Romanian orphanages. Many of these children displayed adverse outcomes.

*Research on them confirms that early experience, not genetics , is their main problem. Josef Polleross/The Image Works.

Social referencing

*With increased mobility and maturation, toddlers use social referencing to detect what is safe, unsafe , and exciting in their environment .

*Referencing is used in consistent and selective ways.

Fathers as Social Partners

Synchrony, attachment, social referencing are sometimes more apparent with fathers than mothers . Contemporary U.S. fathers of all ethnic groups are more involved with their children than their fathers were .

*Fathers: Eliciting more smiles, playing more exciting games

* Mothers: Caregiving, comforting, smiling .

Theories of Infant Psychosocial Development (part 1)

Infant’s earliest years are influenced by significant adults in their lives .

Psychoanalytic theory

* Freud: Mother influences infant’s oral and anal pleasure .

* Erikson : Trust and autonomy fostered in early childhood affect lifelong development .

Theories of Infant Psychosocial Development ( part 2) .


* Child behavior is molded with parental reinforcement or punishment .

* Child behavior also reflects social learning .

*Proximal parenting and distal parenting are especially influenced by culture.

Theories of Infant Psychosocial Development (part 3)

Cognitive theory

* Infants develop working models that can be interpreted and reinterpreted.

Evolutionary theory

* Caregivers and infants possess innate impulses and emotions that contribute to survival and development (e.g., attachment).

Cost of Child Rearing

Parenting involves substantial physical and emotional costs.

Allocare is essential for human survival.


Same Situation , Far Apart: Safekeeping Historically , grandmothers were sometimes crucial for child survival.

Sociocultural Theory

Cultural variations impact every aspect of infant care, including infant day care.

* Worldwide , mothers provide most newborn care with sociocultural differences in allocare. In the United States, for infants under 1 year, 58 % of their mothers were in the labor force.

*Variations in ideas about infant day care are largely due to cultural background .

Infant Day Care and Attachment

* Attachment to someone is beneficial .

* Frequent changes and instability is problematic . *Infants benefit from a strong relationship with parents . *Infant day-care settings vary worldwide and are affected by culture, economics, and politics.


Recent Past and Present

*Belsky raised questions about long-term consequences of infant day care .

*Canadian research reported differential day care effects based on gender, income, and caregiver

*U.S. research found differential results in center care based on family income and mother sensitivity and program quality.

* Cognitive advances , especially language.

*Social consequences.

High -Quality Day Care

High-quality day care during infancy has five essential characteristics.

Adequate attention to each infant
Encouragement of language and sensorimotor development
Attention to health and safety
Professional caregivers
Warm and responsive caregivers


. Individualized care with stable caregivers seems best . Every infant needs personal responsiveness. *Relationships are crucial.

^Infant and caregiver

^Caregiver and parents

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Evaluate responses to nursing interventions for clients with endocrine disorders.


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Compare and contrast two endocrine disorders within the guide. Include the following information:

Identify and compare the causes and diagnostic tests.
Identify and compare the signs and symptoms of the disorder.
Describe the nurses’ role in caring for a patient that suffers from this disorder to include the multidimensional aspects of nursing care.
Identify how you will evaluate responses to the interventions taken for each disorder.

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Gastrointestinal Disorders.

T.H., a 57-year-old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood-streaked stool. You are the registered nurse doing his initial workup. Your findings include a mildly obese man who demonstrates moderate guarding of his abdomen with both direct and rebound tenderness, especially in the left lower quadrant (LLQ). His vital signs are 168/98, 110, 24, 100.4° F (38° C); he is slightly diaphoretic. T.H. reports that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. Past medical history reveals that T.H. has a “sedentary job with lots of emotional moments,” he has smoked a pack of cigarettes a day for 30 years, and he had “two or three mixed drinks in the evening” until 2 months ago. He states, “I haven’t had anything to drink in 2 months.” He denies having regular exercise: “just no time.” His diet consists mostly of “white bread, meat, potatoes, and ice cream with fruit and nuts over it.” He denies having a history of cardiac or pulmonary problems and has no personal history of cancer, although his father and older brother died of colon cancer. He takes no medications and denies the use of any other drugs or herbal products.


. 1. Identify four general health risk problems that T.H. exhibits.

2. Identify a key factor in his family history that might have profound implications for his health and present state of mind.


3.The physician ordered a KUB (x-ray study of the kidneys, ureters, and bladder), complete blood count (CBC), and complete metabolic profile. Based on x-ray and laboratory findings, physical examination findings, and history, the physician diagnoses T.H. as having acute diverticulitis and discusses an outpatient treatment plan with him.What is diverticulitis? What are the consequences of untreated diverticulitis?


4.While the patient is experiencing the severe crampy pain of acute diverticulitis, what interventions would you perform to help him feel more comfortable?


5. What is the rationale for ordering bed rest?


T.H. is being sent home with prescriptions for metronidazole (Flagyl) 500mg PO q6h, ciprofloxacin (Cipro) 500mg PO q12h, and dicyclomine (Bentyl) 20mg  4 tomes per day for 5 days.

6.For each medication, state the drug class and the purpose for T.H.

 7.Given his history, what questions must you ask T.H. before he takes the initial dose of metronidazole? State your rationale


8.What is a disulfiram reaction?


9. What are the signs and symptoms of an allergic reaction

Answer All questions in APA format with a separate reference page.

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